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生化湯對藥物流產(chǎn)后人血清中雌二醇、孕酮水平的影響
廣東省中醫(yī)院婦科 唐薇 林夏靜 2018/4/7 20:47:08
[摘要]目的：通過對比觀察藥流生化湯組及藥流對照組血清中雌二醇及孕酮的含量，從卵巢激素方面探討生化湯應(yīng)用于防治藥流后陰道出血的機理，為臨床上合理應(yīng)用推廣生化湯提供理論基礎(chǔ)和實驗參考依據(jù)。方法：采用化學(xué)發(fā)光法分別檢測雌二醇及孕酮在藥流生化湯組及藥流對照組血清中含量的差異，了解生化湯對藥物流產(chǎn)后患者血清中卵巢激素的影響。結(jié)果：生化湯可明顯升高藥物流產(chǎn)后患者血清中孕酮的含量（P﹤0.01）。結(jié)論：藥流后服用生化湯可提高患者血清中孕酮的水平，孕激素可增厚子宮內(nèi)膜，促進腺體增生，由增生期轉(zhuǎn)為分泌期，使殘留組織與宮壁分離剝脫排出，藥流后服用生化湯可減少流產(chǎn)后的出血量及出血時間，值得臨床廣泛推廣使用。
[關(guān)鍵詞]生化湯；藥物流產(chǎn)；雌二醇；孕酮
[作者簡介] 唐薇（1978-），女，博士，畢業(yè)于暨南大學(xué)，現(xiàn)廣東省中醫(yī)院婦科工作，主治醫(yī)師。
基金項目：廣東省人口和計劃生育委員會科研項目（項目編號:20133091）
Effect of Shenghua Decoction on the level of estradiol and progesterone after medical abortion
Tang Wei, Lin Xia-jing
Department of Gynecology, GuangDong Province Hospital Of Traditional Chinese Medicine ,Guangzhou 510120
Objectives: Through observing the effect of Shenghua Decoction on estradiol and progesterone in serum after medical abortion , to explore the Shenghua Decoction in the mechanism of vaginal bleeding prevention from ovarian hormones, for clinical rational application of Shenghua Decoction and provide a theoretical basis and experimental reference.Methods: Chemiluminescence was used to detect the level of estradiol and progesterone between Shenghua Decoction group and medical abortion group.Results: The expression of progesterone in the serum of patients with medical abortion was significantly increased by Shenghua Decoction (P﹤0.01). Conclution: The use of Shenghua Decoction after medical abortion can increase the serum level of progesterone, progesterone can promote endometrial thickening, gland hyperplasia, the proliferative to secretory phase, the residual tissue and uterine wall separation and stripping discharged after medical abortion and reduce the amount of bleeding and bleeding time after abortion. It is worth popularizing in clinical practice.
Key Words: Shenghua Decoction，medical abortion , estradiol ，progesterone
米非司酮配伍米索前列醇的藥物流產(chǎn)是避孕失敗后終止非期望妊娠的有效措施，但因存在藥流不完全需清宮及藥流后流血時間過長等缺點，而限制了其在臨床的廣泛應(yīng)用。如何提高（未完，下一頁）
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